HPNSDP
Supported by:
Management Information System (MIS)
Directorate General of Health Services (DGHS)
Ministry of Health & Family Welfare (MOHFW)
Mohakhali, Dhaka-1212

Amtali Upazila Health Complex | Health Bulletin 2014 |
Preface
I am very much delighted to publish-this Health bulletin of UHC Amtali, Barguna.This bulletin Contains all the health service and health related information of UHC,Union Sub Center,Community clinic in amtoli upazilla of 2013.The Bulletin also Contains maternal health &U5 child health status Which will help to achieve the MDG goal. This health bulletin has the information of uses of safe drinking water and sanitation status in this upazilla. The bulletin also contain information of OPD,indoor,Emergency,Maternal health including delivery, IMCI services,available equipments and human resources with vacant post in different health service facilities in this Upazilla .The extension hospital building of 50 beds,nurses dormitory and a new one Community clinic in Behela will hand over within a short time. I hope all the information of this Health bulletin will help for planning and improved the health service delivery of this Upazilla. Finally I would Like to congratulation MIS, DGHS for setting us on one step annual towards digital Bangladesh. Dr.Md. Ekramul Kabir UH&FPO Amtali, Barguna.
Dr.MD EKRAMUL KABIR
UH&FPO
Amtali Upazila Health Complex

Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 1
Organization at a glance
Name of the UpazilaAmtali
Name of UHFPO Dr.MD EKRAMUL KABIR
Telephone No. 0445256016
FAX No. 0
Mobile No. 01766292100
Email amtali@uhfpo.dghs.gov.bd
GPS location of UHFPO office Lati: 22.1301 And Long: 90.2304
No. of Unions in the Upazila10
No. of Households in the Upazila 62,438
No. of Population in the Upazila 282,660
Area of Upazila in sq km 720.76

Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 2
Existing health facilities in the Upazila
Facility Type
Total (No.)
No. of Beds
No. of Upazila Health Complex 1 50
No. of Union Sub-Centres 3 0
No. of Union Health and Family Welfare Centres 5 0
No. of Rural/Urban/Thana Dispensaries 0 0
No. of Community Clinics 37 0
No of Trauma Centres 0 0
No. of MCWCs 0 0
No. of Chest Disease Clinics (TB clinics) 0 0
No. of Private Clinics/Facilities 1 0
No. of NGO Clinics/Facilities 0 0

Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 3
Child health and MDG-4 (No.) (January-December, 2013)
No. of Live Birth: 7,641


Total No. of children treated under IMCI Program 15,309
Fully Vaccinated Children: 98.00
Neonatal Mortality Rate (January-December, 2013)
 Neonatal Mortality Rate (NMR) is 5.23 per 1,000 live births.

Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 4

Legends

  • R.P.W-
  • Registered Pregnanat Woman
  • 1st ANC-
  • No. of 1st ANC recipients
  • R.P.W-
  • No. of 4th ANC recipients
  • C. Preg-
  • No. of complicated pregnancies
  • N. deli-
  • No. of normal deliveries
  • V. deli-
  • No. of vaginal deliveries
  • C. deli-
  • No. of cesarean deliveries
  • PNC-
  • No. of PNC services provided to mother in the Upazila

Maternal health and MDG-5 (No.) (January-December, 2013)


All ANC Receiptients: 867
Total Number of Deliveries: 7687
No. of Maternal Death: 13
Valid TT Coverage: 7.00 %
Maternal Mortality Ratio (MMR)(January-December, 2013)
 Maternal Mortality Ratio (MMR) is 170.13 per 100,000 live births.

Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 5

No. of OPD & Emergency visits & Deaths at UHC
Health Facility
OPD
Emergency
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 22,890 8,666 14,224 6,716 1,405 991 414 197
Union Sub-Centres 45,186 19,955 25,231 9,804 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 17,103 7,300 9,803 3,243 0 0 0 0
Community Clinics 222,893 66,994 155,899 23,075 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 174 26 148 5 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 308,420 102,941 205,305 42,843 1,405 991 414 197
No. of Admissions & Deaths at UHC
Health Facility
Admission
Death
T (M+F) M F Child (U-5) T (M+F) M F Child (U-5)
Upazila Health Complex 4,496 2,040 2,456 486 18 10 8 6
Union Sub-Centres 0 0 0 0 0 0 0 0
Union Health and Family Welfare Centre (under DGHS) 0 0 0 0 0 0 0 0
Rural/Urban/Thana Dispensaries 0 0 0 0 0 0 0 0
Community Clinics 0 0 0 0 0 0 0 0
Trauma Centres 0 0 0 0 0 0 0 0
MCWCs 0 0 0 0 0 0 0 0
Chest Disease Clinics (TB clinics) 0 0 0 0 0 0 0 0
Private Clinics/Facilities 0 0 0 0 0 0 0 0
NGO Clinics/Facilities 0 0 0 0 0 0 0 0
Total 4,496 2,040 2,456 486 18 10 8 6

Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 6

Top 10 diseases according to the number of patients admitted in the UHC during the reporting period
Total number of admitted patients during the reporting period 2013
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J18 Pneumonia, organism unspecified 302 15.00
2 Y09 Assault by unspecified means 883 43.86
3 A09 Diarrhoea and gastroenteritis of presumed infectious origin 666 33.08
4 A01 Typhoid and paratyphoid fevers 155 7.70
5 T629 Noxious substance eaten as food, unspecified 73 3.63
6 I10 Essential (primary) hypertension 83 4.12
7 N390 Urinary tract infection, site not specified 33 1.64
8 J45 Asthma 46 2.29
9 K27 Peptic ulcer, site unspecified 44 2.19
10 V892 Person injured in unspecified motor-vehicle accident, traffic 107 5.32

Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 7

Top 10 diseases according to the number of deaths among admitted patients in the UHC during the reporting period
Total number of Deaths during the reporting period 2013
Serial No.
ICD-10 Code with Disease name
No. of cases
%
1 J18 Pneumonia, organism unspecified 2 0.10
2 I516 Cardiovascular disease, unspecified 1 0.05
3 P21 Birth asphyxia 2 0.10
4 T629 Noxious substance eaten as food, unspecified 1 0.05
5 I46 Cardiac arrest 1 0.05
6 A09 Diarrhoea and gastroenteritis of presumed infectious origin 1 0.05
7 J45 Asthma 1 0.05
8 T44 Poisoning by drugs primarily affecting the autonomic nervous system 1 0.05
9 P59 Neonatal jaundice from other and unspecified causes 1 0.05
10 S06 Intracranial injury 1 0.05

Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 8

Water & sanitation
Indicators
Upazila %
Coverage of households having access to safe drinking water (%) 100.00
Coverage of households having access to sanitary latrines (%) 79.00


Utilization of services at Upazila Health Complex
Indicators
Upazila
Total Patient days in Upazila Health Complex in 365 days (No.) 11,698
Bed Occupancy Rates (%) 64.09
Average Length of Hospital Stay (No. of days per patient) 3.00
Hospital Death Rate (%) 0.40


Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 9

Surgeries & Interventions done in the Upazila Hospital
Type
No.
Major Surgeries 0
Minor Surgeries 0

 

Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 10

Status of Human Resources (Class wise)
Class Sanctioned Filled-up Vacant Vacancy %
M F
UHC
Class I Doctor 21 4 3 14 66.67
Non Doctor 0 0 0 0 0.00
Class II 15 1 13 1 6.67
Class III 108 47 45 16 14.81
Class IV 22 19 2 1 4.55
Union Health & Family Welfare Center (under DGHS)
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 0 0 0 0 0.00
Class IV 0 0 0 0 0.00
Rural Dispensaries
Class I Doctor 3 0 0 3 100.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 6 2 0 4 66.67
Class IV 3 3 0 0 0.00
Community Clinics
Class I Doctor 0 0 0 0 0.00
Non Doctor 0 0 0 0 0.00
Class II 0 0 0 0 0.00
Class III 37 14 24 -1 -2.70
Class IV 0 0 0 0 0.00

 

Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 11

Status of Human Resources (Class wise)
Class Sanctioned (No.) Filled-up (No.) Vacant (No.) Vacancy %
M F
Upazila Total
Class I Doctor 39 5 3 31 79.49
Non Doctor 0 0 0 0 0.00
Class II 24 1 22 1 4.17
Class III 131 55 46 30 22.90
Class IV 38 28 7 3 7.89
Other Hospitals & Clinics
Class I Doctor 8 1 0 7 87.50
Non Doctor 0 0 0 0 0.00
Class II 9 0 9 0 0.00
Class III 10 2 0 8 80.00
Class IV 13 6 5 2 15.38

 

Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 12

Status of Human Resources (No.) (Category wise)
Manpower Community Clinic USC/UHFWC/RD UHC Others IMCI trained Basic EOC trained
Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up Sanctioned Filled-up
Physician 0 0 18 0 21 7 0 0 0 1
Nurse 0 0 0 0 14 14 9 9 10 10
Medical Assistant 0 0 10 9 2 2 0 0 9 0
Medical Technologist 0 0 7 0 10 9 0 0 0 0
CHCP 38 38 0 0 0 0 0 0 38 0
HI 0 0 0 0 5 4 0 0 0 0
AHI 0 0 0 0 13 13 0 0 0 0
HA 0 0 0 0 63 53 0 0 0 0
CSBA trained*** 0 0 0 0 0 14 0 0 0 0

Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 13

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Radiology equipment
X-ray machine (100 mA) 0 0 0 0 0
X-ray machine (300 mA) 1 0 1 0 0
X-ray machine (500 mA) 0 0 0 0 0
X-ray machine (digital) 0 0 0 0 0
X-ray machine (portable) 0 0 0 0 0
Dental X-ray unit 0 0 0 0 0
Spiral CT Scan 0 0 0 0 0
C-arm 0 0 0 0 0
Mamogram machine 0 0 0 0 0
Dehumidifier 0 0 0 0 0
MRI machine 0 0 0 0 0
Ultrasonogram machine 0 0 0 0 0
Anesthesiology/surgical equipment
Anesthesia machine with ventilator 0 0 0 0 0
Anesthesia machine without ventilator 1 1 0 0 0
Autoclave 3 0 1 2 0
Electric cautery machine 0 0 0 0 0
Diathermy machine 0 0 0 0 0
Operating microscope 0 0 0 0 0
Ceiling mounting OT Light 0 0 0 0 0
Portable OT Light 1 1 0 0 0
Fracture table 0 0 0 0 0
Hydrolic OT Table 0 0 0 0 0
Sterilizer 1 1 0 0 0
Sucker machine (electric) 8 2 2 4 0
Ventilator 0 0 0 0 0


Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 14

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Cardiology equipment
Coronary angiogram machine 0 0 0 0 0
Debrililator 0 0 0 0 0
ECG machine 0 0 0 0 0
Ecocardiogram machine 0 0 0 0 0
Cardiac monitor 0 0 0 0 0
Holter monitor 0 0 0 0 0
Nebulizer machine 5 1 1 3 0
Pulse oximeter 0 0 0 0 0
Dental equipment
Dental unit 1 1 0 0 0
Gastroeneterology equipment
Endoscopy machine 0 0 0 0 0
Laparoscopic machine 0 0 0 0 0


Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 15

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Lab equipment
Biochemical auto-analyzer 0 0 0 0 0
Centrifuge machine (electric) 1 1 0 0 0
Colorimeter 2 1 1 0 0
Electrolyte analyzer 0 0 0 0 0
ELISA machine 0 0 0 0 0
Gas analyzer 0 0 0 0 0
Hormone analyzer 0 0 0 0 0
Blood cell counter 0 0 0 0 0
Microscope (binocular) 1 1 0 0 0
Obstetric equipment
Fetal Monitor 0 0 0 0 0
Ophthalmic equipment
FACO machine 0 0 0 0 0
Retinoscope 0 0 0 0 0
Pediatric equipment
Baby incubator 0 0 0 0 0
Phototherapy unit 0 0 0 0 0


Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 16

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Blood bank equipment
Blood bank centrifuge 0 0 0 0 0
Laminar flow hood 0 0 0 0 0
pH meter 0 0 0 0 0
Hemoglobin photometer 0 0 0 0 0
Blood bank refrigerator 0 0 0 0 0
Blood plasma seperating machine 0 0 0 0 0
Platelet seperating machine 0 0 0 0 0
Deep freeze (plasma) 0 0 0 0 0
Deep freeze (RBC) 3 2 1 0 0
Refrigerator 2 1 1 0 0
Psichiatry equipment
ECT machine 0 0 0 0 0
EEG machine 0 0 0 0 0
Urology equipment
Cystoscopic machine 0 0 0 0 0
Vehicles
Ambulance 3 1 1 1 0
Bus 0 0 0 0 0
Jeep 0 0 0 0 0
Microbus 0 0 0 0 0
Pickup 0 0 0 0 0


Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 17

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
Air conditioner
Air conditioner (split type) 0 0 0 0 0
Air conditioner (window) 1 0 1 0 0
Generator
Generator (diesel/petrol) 2 1 1 0 0
Generator (gas) 0 0 0 0 0
Solar panel 0 0 0 0 0
IPS 0 0 0 0 0
ICT equipment
Computer (desktop) 9 9 0 0 0
Laptop 2 2 0 0 0
Printer (dot matrix) 0 0 0 0 0
Printer (inkjet) 0 0 0 0 0
Printer (laser) 9 9 0 0 0
Scanner 2 2 0 0 0
UPS 3 3 0 0 0
Fax 0 0 0 0 0
Intercom 0 0 0 0 0
Internet fixed line 0 0 0 0 0
Internet wireless line 1 1 0 0 0
Multimedia 1 1 0 0 0


Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 18

Existing equipments at UHC
Equipment Total (No.) Functional (No.) Non-functional Not Installed (No.)
Repairable (No.) Non-repairable (No.)
OHP
PA system (Sound) 1 1 0 0 0
Land phone 1 1 0 0 0
Mobile phone 1 1 0 0 0
Photocopier machine 0 0 0 0 0
Digital camera 0 0 0 0 0
Video camera 0 0 0 0 0
Total 66 45 11 10 0

Amtali Upazila Health Complex | Health Bulletin 2014 | Page# 19

Important information and necessary issues for Amtali Upazila Health Complex |
 Important information and necessary issues for Amtali Upazila Health Complex. Although we try to give maximum service but last year we could not give our best health service to improve the health status of the population of this upazila due to many reasons.I like to mention some factors like vacant doctors, other staff of UHC and field staff and infra structure to open different corner but infrastructure wiil solve within a short peroid which needs to serve best health service to the people.Doctors and nurses need more training to improve capacity.all the repairable equipments should be repair as early as possible and need some new modern equipments like ECG which will save the life. I am very hopeful to solve all the problems by writing health bulletin 2013 and peoples also understand our health service of UHC and others Sub Center as well as field service. Dr. Md Ekramul Kabir UH&FPO Amtali, Barguna.